Provider Demographics
NPI:1609893072
Name:SARMIENTO, RUTH R (MD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:R
Last Name:SARMIENTO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1835 SAVOY DR
Mailing Address - Street 2:STE. 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-1072
Mailing Address - Country:US
Mailing Address - Phone:678-289-0549
Mailing Address - Fax:678-289-8756
Practice Address - Street 1:1045 SOUTHCREST DR
Practice Address - Street 2:STE. 200
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-6113
Practice Address - Country:US
Practice Address - Phone:678-289-0549
Practice Address - Fax:678-289-8756
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2020-11-23
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Provider Licenses
StateLicense IDTaxonomies
GA037065207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA947022707GMedicaid
GA947022707FMedicaid
GA947022707FMedicaid
GA202I832074Medicare PIN
GAG54562Medicare UPIN